MRS. SUSAN KIM CRNP NPI 1629466826

NPI Information

  • NPI: 1629466826
  • Provider Name: MRS. SUSAN KIM, CRNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1030 LIBERTY RD
    SUITE 100
    ELDERSBURG, MD
    ZIP 21784
  • Phone: (410) 549-0900

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NPI Details

MRS. Susan Kim, CRNP is a pediatrics nurse practitioner in Eldersburg, MD. MRS. Susan Kim, CRNP NPI is 1629466826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1030 LIBERTY RD
SUITE 100
ELDERSBURG, MD
ZIP 21784-941
Phone: (410) 549-0900
Fax: (410) 549-6121

The enumeration date for this NPI number is 12/23/2014 and was last updated on 12/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsR213300MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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